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Rational Design of Dual Peptides Targeting Ghrelin and Y2 Receptors to Regulate Food Intake and Body Weight Tom-Marten Kilian, Nora Klöting, Ralf Bergmann, Sylvia Els-Heindl, Stefanie Babilon, Mathieu Clément-Ziza, Yixin Zhang, Annette G. Beck-Sickinger, and Constance Chollet J. Med. Chem., Just Accepted Manuscript • DOI: 10.1021/jm501702q • Publication Date (Web): 23 Apr 2015 Downloaded from http://pubs.acs.org on May 5, 2015

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Journal of Medicinal Chemistry

Rational Design of Dual Peptides Targeting Ghrelin and Y2 Receptors to Regulate Food Intake and Body Weight Tom-Marten Kilian,† Nora Klöting,‡ Ralf Bergmann,§ Sylvia Els-Heindl,† Stefanie Babilon,† Mathieu Clément-Ziza,ʭ Yixin Zhang,Φ Annette G. Beck-Sickinger† and Constance Chollet.*,†, Φ, ǁ † Faculty of Biosciences, Pharmacy and Psychology, Institute of Biochemistry, Universität Leipzig, Brüderstrasse 34, 04103 Leipzig, Germany. ‡ Integrated Research and Treatment Center Adiposity Diseases (IFB), Core Unit “Animal Models”, Universität Leipzig, Liebigstrasse 21, 04103 Leipzig, Germany. § Department of Radiopharmaceutical and Chemical Biology, Institute of Radiopharmaceutical Cancer Research, Helmholtz-Zentrum Dresden-Rossendorf, P.O. Box 510119, 01314 Dresden, Germany. ʭ CECAD - Cluster of Excellence, University of Cologne, Joseph-Stelzmann-Str. 26, 50931 Cologne, Germany. Φ B CUBE-Center for Molecular Bioengineering, Technische Universität Dresden, Arnoldstrasse 18, 01307 Dresden, Germany.

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ǁ Current address: Institute of Biochemistry, University of Cologne, Zülpicher Strasse 47, 50674 Cologne, Germany.

KEYWORDS Multitarget drug, gastrointestinal peptide, ghrelin receptor inverse agonist, Y2 receptor agonist, regulation of food intake.

ABSTRACT

Ghrelin and Y2 receptors play a central role in appetite regulation inducing opposite effects. The Y2 receptor induces satiety while the ghrelin receptor promotes hunger and weight gain. However, the food regulating system is tightly controlled by interconnected pathways where redundancies can lead to poor efficacy and drug tolerance when addressing a single molecule. We developed a multitarget strategy to synthesize dual peptides simultaneously inhibiting the ghrelin receptor and stimulating the Y2 receptor. Dual peptides showed a dual activity in vitro and one compound induced a slight diminution of food intake in a rodent model of obesity. In addition, stability studies in rats revealed different behaviours between the dual peptide and its corresponding monomers. The Y2 receptor agonist was unstable in blood while the dual peptide showed an intermediate stability compared to the highly stable ghrelin receptor inverse agonist.

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INTRODUCTION

The regulation of food intake involves a permanent communication between the gastrointestinal tract (gut) and the central nervous system (CNS) in a complex and integrated network.1 Hence, gut peptides are key messengers between the different parts of the gastrointestinal tract and in the gut-brain axis. Principally, peptide hormones are released from the gut and pancreas to mediate the short- and long-term regulation of hunger and satiety, food intake, energy homeostasis and body weight. They communicate energy and feeding statues to central checkpoints involved in food regulation and energy homeostasis, mainly the POMC/AgRP neurons in the arcuate nucleus of the hypothalamus and some neuronal populations of the brainstem. Although not fully understood, the signaling between the gut and the CNS is thought to occur through areas with a leaky blood brain barrier, i.e. the median eminence near the arcuate nucleus and the area postrema in the brainstem, as well as via the vagus nerve.2 Obesity leads to a sustained dysregulation of energy homeostasis and disruption of gut peptide expression.3 Expression levels of satiety hormones such as PYY, GLP-1 and PP as well as the orexigenic peptide ghrelin decrease in obesity. Various studies also reported that food intake and body weight can be reduced in obese humans or rodents by administration of satiety hormones.4 On the contrary, ghrelin stimulates appetite when administrated to both lean and obese subjects and low-calorie diet or weight loss rise ghrelin levels and up-regulate ghrelin receptor expression.5,6 In addition, a sustained modification of gut peptide profiles is observed after intestinal bypass operation with elevated postprandial concentrations of the satiety hormones GLP-1 and PYY and a 75% decrease in ghrelin levels.7,8 In this context, gastrointestinal peptides have emerged as promising targets to treat obesity.9,10 However, redundancies in the food regulating system can lead to poor efficacy and drug

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tolerance.11 Moreover, anti-obesity drugs should always be considered as a chronic treatment excluding side effects in a long-term perspective. Therefore, using drug combination for obesity is currently considered as a strategy of choice although only few have been investigated using gastrointestinal peptides.12,13 In this article, we present a rational multitarget approach to simultaneously block the food regulating system at different levels (Figure 1). The rational of multitargeting is indeed to mimic polytherapy while bypassing issues related to drug combination.14 Hence, dual peptides simultaneously inhibiting the ghrelin receptor and activating the Y2 receptor were designed and evaluated in vitro and in vivo. Both receptors are indeed considered as promising drug targets for obesity.15–17 PYY(3-36) is the endogenous ligand of the Y2 receptor and acts as a direct satiety signal with a short-term effect on appetite regulation. Ghrelin is a unique orexigenic signal from the periphery that mediates hunger, promotes weight gain and stimulates energy storage. Thus, Y2 receptor agonists and more recently, potent ghrelin receptor antagonists and inverse agonists have been developed.18 The simultaneous targeting of ghrelin and Y2 receptors is based on the co-localizations of both receptors on the same neuronal population, the NPY/AgRP neurons, in the arcuate nucleus of hypothalamus.

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Figure 1: Dual targeting strategy of ghrelin and Y2 receptors.

RATIONAL DESIGN OF GHRELIN-Y2 RECEPTORS DUAL TARGETING PEPTIDES. Selection of a ghrelin inverse agonist. The hexapeptide K-(D-1-Nal)-FwLL-NH2 1a was selected as ghrelin receptor targeting moiety as it possesses a very high inverse agonist potency and high affinity toward the ghrelin receptor. It also significantly reduced food intake in rats in acute food intake studies.19 Previous structure-activity relationship (SAR) studies showed that the peptide core was sensitive to modifications.19,20 Lys1 and the aromatic core -(D-1-Nal)-Fware essential for receptor recognition and potency and cannot be modified. The amidated Cterminus also needs to be preserved. On the other hand, the N-terminus and the C-terminal leucine allow modifications and could tolerate anchoring a linker (Figure 2). Selection of a Y2 receptor agonist. PYY(3-36) is the endogenous ligand selective to the Y2 receptor. Importantly, truncation of the N-terminal sequence (3-21) only resulted in a 4- to 5fold decrease in potency toward the receptor.21 However, maintaining an exclusive selectivity

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toward Y2 over other receptors of the Y family is challenging but essential as Y1 and Y5 receptors induce orexigenic signals and thus achieve opposite effects from Y2.22 Hence, Ac[L31]-PYY(24-36) 2a was selected from the literature as it presents good selectivity and potency toward the Y2 receptor (IC50 = 3.9±0.4 nM in human neuroblastoma SMS-KAN cells that only express the Y2 receptor).23 Moreover, PEGylated derivatives of 2a significantly decreased food intake and body weight after administration to rodents.24,25 According to the numerous SAR studies on the PYY motif, the C-terminal section of the peptide is essential for activity and selectivity.26 However, the N-terminal region of truncated PYY analogues tolerates modification and thus introduction of a linker.

Figure 2: Design of ghrelin-Y2 receptors dual targeting peptides.

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RESULTS Synthesis of ghrelin-Y2 receptors dual targeting peptides with a C-ter/N-ter linkage. [L31]PYY(24-36) 3a was elongated on a Rink amide resin. Addition of a Mtt-protected lysine at its Nterminus affords 3b. N-terminal acetylation followed with a selective Mtt deprotection at Nε of Lys23 led to 3c and 3d-e were finally obtained by coupling of an amino hexanoic acid or a βalanine linker (Scheme 1). In order to connect the ghrelin receptor inverse agonist moiety via its C-terminus, the sequence of the hexapeptide K-(D-1-Nal)-FwLL-NH2 1a was modified. Leu6 was replaced with an asparagine or a glutamine so that the carboxamide side chain could mimic the amidated C-terminus of the native monomer 1a. Dual peptides 4a-d were obtained accordingly, by elongating 3d-e with K-(D-1-Nal)-FwLN- or K-(D-1-Nal)-FwLQ- on solid support and then cleaved from the resin. The modified monomers K-(D-1-Nal)-FwLN-OH 1b, K-(D-1-Nal)-FwLQ-OH 1c and Ac-[K23;L31]-PYY(23-36) 2b were also synthesized on solid support for biological assays.

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Scheme 1: Synthesis of ghrelin-Y2 receptors dual targeting peptides 4a-d with a C-ter/N-ter linkage. Reagents and conditions: (a) Fmoc-L-Lys(Mtt)-OH, Oxyma, DIC, DMF, r.t., 2 h; (b) (i) piperidine, 20 % in DMF, 2x15 min; (ii) Ac2O, DIPEA, DCM, r.t., 30 min. (iii) TFA/TIPS/DCM: 1/5/94, r.t., 15x2 min ; (c) (i) Fmoc-L-β-Ala-OH or Fmoc-Ahx-OH, Oxyma, DIC, DMF, r.t., 2 h.; (ii) piperidine, 20 % in DMF, 2x15 min; (d) manual/automated peptide elongation; (e) TFA/thioanisole/thiocresol: 90/5/5, r.t. 3 h.

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Synthesis of ghrelin-Y2 receptors dual targeting peptides with a N-ter/N-ter linkage. [L31]PYY(24-36) 2a was elongated on a Rink amide resin. Addition of a Mtt-protected diamino propionic acid (Dpr) at its N-terminus afforded 3f (Scheme 2). N-terminal acetylation followed by a selective Mtt deprotection at Nβ of Dpr23 led to 3g and allowed the insertion of a succinyl linker to obtain 3h. In order to connect the ghrelin receptor inverse agonist moieties via its Nterminus, two monomers 1d and 1e were also synthesized on solid support and cleaved from the resin. A Fmoc protecting group for 1d and Dde protecting groups for 1e were maintained at lysines side chains to avoid side reactions with free amino groups. Hence 1d and 1e were coupled to 3h at the free carboxylic group. To spare the starting peptides 1d and 1e, the peptide bond was formed with equimolar amount of 3h and 1d-e and the reaction was repeated once. After Fmoc- or Dde-cleavage, final cleavage from the resin and side chain deprotection, dual peptides 5a and 5b were obtained in solution. Due to the low excess of starting peptides 1d and 1e, conversion of 3h was never complete and a mixture of 3h and 5a-b was obtained after cleavage from the solid support. Nevertheless, dual peptides 5a and 5b could be easily purified. The monomers 1f, 1g, and Ac-[Dpr23;L31]-PYY(23-36) 2c were also synthesized on solid support for biological assays.

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Scheme 2: Synthesis of ghrelin-Y2 receptors dual targeting peptides 5a-b with a N-ter/N-ter linkage. Reagents and conditions: (a) Fmoc-L-Dpr(Mtt)-OH, Oxyma, DIC, DMF, r.t., 2 h.; (b) (i) piperidine, 20 % in DMF, 2x15 min; (ii) Ac2O, NEt3, DCM, r.t., 30 min. (iii) TFA/TIPS/DCM: 1/5/94, r.t., 15x2 min; (c) succinic anhydride, NEt3, DMF r.t., overnight; (d) (i) 1d, HOBt, DIC, DMF, r.t., overnight x2; (ii) piperidine, 20 % in DMF, 2x15 min; (e) (i) 1e, HOBt, DIC, DMF, r.t., overnight x2; (ii) hydrazine 2% in DMF, 10x10 min; (f) TFA/thioanisole/thiocresol: 90/5/5, r.t. 3h.

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Synthesis of radioconjugates for stability assay. In order to perform stability studies in vivo, PYY(3-36), 2a and 5a were functionalized with the bifunctional chelator NODAGA, according to a procedure previously optimized. 27 NODAGA(BOC)3 was directly bond to a Nε-lysine of PYY(3-36) and 2a on solid support and led to the NODAGA-conjugates 6a and 7a after cleavage from the resin (Scheme 3). The NODAGA-conjugate 8a was obtained following the same synthesis path as 5a. Hence, the Y2R moiety 3h was elongated on a Rink amide resin. NODAGA(BOC)3 was introduced at Nε-Lys1 after a selective Dde cleavage. A succinic linker was then coupled at Nβ-Dpr2 after a selective Mtt cleavage and allowed the connection of ghrelin monomer 1d at the free carboxylic group. Complexation with cold Ga was performed by incubating the peptides with a solution of Ga(NO3)3 in acetate buffer (pH 5) at 37°C. The cold chelates 6-8b were directly purified by HPLC to remove the excess of metal and used for in vitro binding assays. For radiolabeling, conjugates 6-8a were incubated with

68

Ga(OAc)3 in acetate

buffer (pH 4.0 to 4.5) for 15 min at 37°C, and led to 68Ga-radiotracers 6-8c in solution.

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Scheme 3. Synthesis of the NODAGA-peptide conjugates 6-8a, the NODAGA(Ga)-peptide chelates 6-8b and the corresponding NODAGA(Ga)68-peptide radiotracers 6-8c. Reagents and conditions: (a) (i) hydrazine 2% in DMF, 10x10 min; ii) NODAGA(BOC)3, HOBt, DIC, DMF; (b) (i) TFA/TIPS/DCM: 1/5/94, r.t., 15x2min; (ii) succinic anhydride, NEt3, DMF r.t., overnight; (c) (i) 1d, HOBt, DIC, DMF, r.t., overnight x2.; (ii) piperidine, 20 % in DMF, 2x15 min; (iii) TFA/thioanisol/thiocresol: 90/5/5, r.t. 3h. (d) Ga(NO3)3, pH 5.0, 37°C, 30 min. (e)

68

Ga(OAc)3,

pH 4.0-4.5, 37°C, 15 min.

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In vitro potency at ghrelin and Y2 receptors. Potency of the dual peptides at the ghrelin receptor was evaluated with an inositol phosphate accumulation assay in COS-7 cells, stably expressing the human ghrelin receptor. A 44-fold to 55-fold drop in potency was observed for dual peptides 4a-b compared with control 1a (Table 1 and Figure 3-A). Both compounds presented EC50 in the submicromolar range (respectively EC50=331 nM and EC50=267 nM). The corresponding monomer 1b also presented a 31-fold decreased potency compared with control 1a with an EC50=189 nM. 4c-d were more potent, but showed EC50 respectively 17- and 15-fold higher than control 1a (EC50=100 nM and 88.3 nM, respectively). The corresponding monomer 1c presented potency in the same range with an EC50=70.2 nM. Hence, replacement of Leu6 of the ghrelin receptor inverse agonist 1a, and modification of the amidated C-terminus was moderately tolerated. Nevertheless, potency was less affected when a) Leu6 was replaced with Gln6 than with Asn6 (4c-d versus 4a-b) and b) for monomers bearing a free carboxyl C-terminus than for the corresponding dual peptides (1b versus 4a-b and 1c versus 4c-d). Furthermore, in this series, derivatives with a hexanoyl linker showed slightly higher potencies than compounds with a β-alanine linker (4b versus 4a and 4d versus 4c). Higher potencies were obtained with dual peptides 5a-b (Table 1 and Figure 3-B). 5a showed an EC50=41.7 nM, only 7-fold higher than control 1a, and thus being the best dual peptide. On the other hand 5b was 20-fold less potent than 1a (EC50=109.6 nM) and thus equipotent to 4c-d. The monomer 1f and 1g were more potent than the corresponding dual peptide but were respectively 5-fold and 10-fold less potent than control 1a (EC50=29.0 nM and 60.2 nM, respectively). Thus, introduction of an extra lysine at N-terminus of the ghrelin inverse agonist sequence led to a drop in potency (1g and 5b) whereas the direct connection of the succinic linker at N-terminus

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maintained the potency in the low nanomolar range at the ghrelin receptor (1f and 5a). Importantly, monomer 2b targeting the Y2 receptor was inactive at the ghrelin receptor. Potency of the dual peptides at the Y2 receptor was evaluated with an inositol phosphate accumulation assay in COS-7 cells stably co-expressing the human Y2 receptor and a chimeric Gi/q protein. 4a-b were not tested at the Y2 receptor due to their poor potency toward the ghrelin receptor. Dual peptides 4c-d showed nanomolar potencies at the Y2 receptor, with respectively EC50=1.7 nM and EC50=3.9 nM (Table 1 and Figure 4-C). Potencies were nevertheless 3- and 6fold lower than control 2d and a slight decrease in efficacy was also observed (~85% versus 95%). The corresponding monomer 2b was equipotent to control 2d with EC50=0.5 nM, but presented a loss in efficacy (Eff=68 %). Potencies of dual peptides 5a-b at the Y2 receptor were in the nanomolar range, with respectively EC50=3.2 nM and EC50=2.0 nM, showing a 5- and 3fold drop of potency compared with control 2d (Table 1 and Figure 4-D). The corresponding monomer 2c was equipotent to the control 2d with EC50=0.4 nM. In addition, 2c and 5a-b all showed decreased efficacies from 77% to 84% compared to control 2d. Last, monomers 1c, 1f and 1g targeting the ghrelin receptor were inactive at the Y2 receptor. In conclusion, dual peptides with C-ter/N-ter linkage presented low (4a-b) or moderate (4c-d) potency, in the submicromolar range, at the ghrelin receptor while potency at the Y2 receptor was maintained in the nanomolar range (4c-d). Dual peptides 5a-b with N-ter/N-ter linkage showed distinct behavior. 5a expressed the highest potency at the ghrelin receptor, with only a 7-fold decrease compared with the control while 5b was moderately potent. Both compounds presented a high potency, in the nanomolar range at the Y2 receptor.

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Table 1: In vitro potency and efficacy at the ghrelin and Y2 receptor. EC50 and pEC50±SEM values were obtained from log(concentration)-response curves according to a 4 Parameter Logistic (4PL) nonlinear regression model and showed the potency of the peptides at the ghrelin receptor (GhR) and at the Y2 receptor (Y2R). Efficacy values (Eff) are the mean ± SEM of |Effmax- Effmin|. Ghrelin Receptor (GhR) N°

structure EC50 [nM] pEC50 ±SEM

Y2 Receptor (Y2R)

x-fold over 1a

Eff [%]

n

EC50 [nM] pEC50±SEM

x-fold over 2d

Eff [%]

type n

1a (control)

K-(D-1-Nal)-FwLL-NH2

6.0

8.2±0.1

1

55±3

4

n.d.

a

-

-

-

monomer (GhR)

1b

K-(D-1-Nal)-FwLN-OH

189.2

6.7±0.08

31

86±4

2

n.d.

-

-

-

monomer (GhR)

1c

K-(D-1-Nal)-FwLQ-OH

70.2

7.2±0.08

12

92±5

2

>1000

-

-

-

2

monomer (GhR)

1f

Succ-K-(D-1-Nal)-FwLL-NH2

29.0

7.5±0.07

5

88±3

2

>1000

-

-

-

2

monomer (GhR)

1g

Succ-KK-(D-1-Nal)-FwLL-NH2

60.2

7.2±0.1

10

84±7

2

>1000

-

-

-

2

monomer (GhR)

n.d.

-

-

-

0.6

9.2±0.05

1.0

95±3

2

monomer (Y2R)

>1000

-

-

-

0.5

9.3±0.1

0.8

68±6

2

monomer (Y2R)

n.d.

-

-

-

0.4

9.4±0.1

0.6

77±6

2

monomer (Y2R)

SPEELNRYYASLRHYLNLVTRQRY2d NH2 (control) 2b

Ac-KLRHYLNLLTRQRY-NH2

2c

Ac-(Dpr)-LRHYLNLLTRQRY-NH2

4a

Ac-K[βala-NLwF-(D-1-Nal)-K]LRHYLNLLTRQRY-NH2

331.3

6.5±0.05

55

74±2

2

n.d.

-

-

-

dual peptide (GhR/Y2R)

4b

Ac-K[Ahx-NLwF-(D-1-Nal)-K]LRHYLNLLTRQRY-NH2

266.8

6.6±0.2

44

64±7

2

n.d.

-

-

-

dual peptide (GhR/Y2R)

4c

Ac-K[βala-QLwF-(D-1-Nal)-K]LRHYLNLLTRQRY-NH2

99.9

7.0±0.02

17

88±2

2

1.7

8.8±0.1

3

86±6

2

dual peptide (GhR/Y2R)

4d

Ac-K[Ahx-QLwF-(D-1-Nal)-K]LRHYLNLLTRQRY-NH2

88.3

7.1±0.1

15

85±4

2

3.9

8.4±0.2

6

84±8

2

dual peptide (GhR/Y2R)

5a

Ac-Dpr[Succ-K-(D-1-Nal)-FwLLNH2 ]-LRHYLNLLTRQRY-NH2

41.7

7.4±0.08

7

82±4

2

3.2

8.5±0.2

5

84±7

2

dual peptide (GhR/Y2R)

5b

Ac-Dpr[Succ-KK-(D-1-Nal)-FwLLNH2 ]-LRHYLNLLTRQRY-NH2

109.6

7.0±0.1

18

78±5

2

2.0

8.7±0.08

3

82±4

2

dual peptide (GhR/Y2R)

2

(a) n.d.: not determined.

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Figure 3: Concentration-response curves of 4a-d and 5a-b in inositol phosphate turnover assay in COS-7 cells stably expressing the human ghrelin receptor (A-B) and in COS-7 cells stably co-expressing the human Y2 receptor and a chimeric Gi/q protein (C-D). The responses are expressed in % of constitutive activity of the ghrelin receptor or in % of maximum activity of the Y2 receptor and error-bars indicates SEM over two biological replicates.

In vitro affinity at ghrelin and Y2 receptors. Competitive binding of the dual peptides 4c-d and 5a-b and the NODAGA(Ga)-chelates 6-8b was evaluated (i) at the ghrelin receptor with ghrelin and (ii) at the Y2 receptor with

125

125

I-

I-PYY. All dual peptides showed a binding affinity in

the submicromolar range (IC50 = 70.4 to 126 nM) at the ghrelin receptor with a 31- to 55-fold shift compared with ghrelin (Figure 4-A and Table 2). Hence, the decrease in binding affinities was comparable for the dual peptides with a C-ter/N-ter linkage (4c-d) and with a N-ter/N-ter

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linkage (5a-b). The binding affinity of all dual peptides was maintained in the nanomolar range at the Y2 receptor although 5a showed discrepancies (Figure 4-B and Table 2). 4c-d and 5b presented only a 3- to 5-fold decrease in affinity compared with NPY (IC50 = 9 to 14.7 nM) while a lower binding affinity toward the Y2 receptor was observed for 5a (IC50 = 61.4 nM). Binding affinity of the NODAGA(Ga)-chelates 6-8b was also evaluated prior to stability studies in vivo (Figure 4-C and 4-D and Table 2). The Y2 receptor agonists 6-7b derived from PYY(336) and 2a showed binding affinity only 3- to 4-fold lower than NPY for the Y2 receptor (IC50 = 8.8 and 11.3 nM respectively). The dual targeting chelates 8b presented a similar binding affinity toward the Y2 receptor than its precursor 5a (IC50= 60 nM). In parallel, binding affinity of 8b for the ghrelin receptor, although lower than of 5a, remained in the same order of magnitude (IC50= 174 nM).

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Table 2: In vitro affinity of the dual peptides 4c-d and 5a-b and of the NODAGA(Ga)-chelates 6-8b toward ghrelin and Y2 receptors in competitive binding assays. EC50 and pEC50±SEM values were obtained from log(concentration)-response curves according to a 4 Parameter Logistic (4PL) nonlinear regression model and showed the binding affinity of the peptides at the ghrelin receptor (GhR) and at the Y2 receptor (Y2R).

Ghrelin Receptor (GhR) N°

structure

control (GhR)

Ghrelin

IC50

pIC50 ± SEM

2.3

control (Y2 R) n.d.

NPY

a

x-fold over ghrelin

Y2 Receptor (Y2R) x-fold over NPY

type

n

IC50

pIC50 ± SEM

8.64 ± 0.06

3

n.d.

-

-

monomer (GhR)

-

-

2.8

8.55 ± 0.08

4

monomer (Y2 R)

n

4c

Ac-K[βala-QLwF-(D-1-Nal)-K]LRHYLNLLTRQRY-NH2

126

6.90 ± 0.10

55

2

14.7

7.83 ± 0.25

5

3

dual peptide (GhR/Y2 R)

4d

Ac-K[Ahx-QLwF-(D-1-Nal)-K]LRHYLNLLTRQRY-NH2

78.2

7.11 ± 0.12

34

3

9

8.05 ± 0.32

3

3

dual peptide (GhR/Y2 R)

97.1

7.01 ± 0.20

42

2

61.4

7.2 ± 0.39

22

3

dual peptide (GhR/Y2 R)

70.4

7.15 ± 0.25

31

2

9.7

8.02 ± 0.38

3

3

dual peptide (GhR/Y2 R)

5a 5b

Ac-Dpr[Succ-K-(D-1-Nal)-FwLL-NH2 ]LRHYLNLLTRQRY-NH2 Ac-Dpr[Succ-KK-(D-1-Nal)-FwLL-NH2 ]LRHYLNLLTRQRY-NH2

6b

[K (NODAGA(Ga))]-PYY(3-36)

n.d.

-

-

8.8

8.05 ± 0.07

3

2

monomer (Y2 R)

7b

Ac-K(NODAGA(Ga))-LRHYLNLLTRQRYNH2

n.d.

-

-

11.3

7.95 ± 0.10

4

2

monomer (Y2 R)

8b

Ac-K(NODAGA(Ga))-Dpr[Succ-K-(D-1-Nal)FwLL-NH2]-LRHYLNLLTRQRY-NH2

174

6.76 ± 0.20

3

60

7.22 ± 0.08

21

2

dual peptide (GhR/Y2 R)

4

76

(a) n.d. not determined

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Journal of Medicinal Chemistry

Figure 4: Concentration-response curves of 4c-d, 5a-b and 6-8b in competitive binding assays performed with

125

I-ghrelin in COS-7 cells stably expressing the human ghrelin receptor

(A, C) and with 125I-PYY in HEK-293 cells stably expressing the human Y2 receptor (B, D). The response is expressed in % of bound 125I-ghrelin or % of bound 125I-PYY and error-bars indicates SEM over at least two biological replicates.

Selectivity toward Y2 receptor. To determine the selectivity of the dual peptide 4c-d and 5a-b toward the Y2 receptor over Y1, Y4 and Y5 receptors, inositol phosphate accumulation was measured in COS-7 cells stably co-expressing the corresponding human Y receptor and a chimeric Gi/q protein, for each compound, at 10-6M. All values were normalized over NPY response at each receptor and expressed in % of NPY response at each receptor. These data showed the efficacy of the dual peptides at each receptor and could be compared with efficacy toward the Y2 receptor (Figure 5). All dual peptides showed efficacies from 79 to 90% at the Y2 receptor. Efficacies of dual peptides 4c and 4d were higher than 66% at Y1 receptor and higher

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than 56% at Y5 receptor. Efficacies at Y4 receptor were respectively 46% and 35%. Hence selectivity of 4c-d for Y2 receptor was relatively low. In contrary, dual peptides 5a and 5b showed efficacies lower than 25% at Y1 and Y4 receptors and up to 33% at Y5 receptor. Thus, 5a and 5b showed a high selectivity toward the Y2 receptor compared to the other Y receptors.

Figure 5: Selectivity of 4c-d and 5a-b toward Y2 receptor over Y1, Y2, Y4 and Y5 receptors at high concentration. All compounds were tested in inositol phosphate accumulation assay with COS-7 cells stably co-expressing the corresponding human Y receptor and a chimeric Gi/q protein. The response is expressed in % of NPY response at each receptor and error-bars indicates SEM over two biological replicates.

Food intake assay. According to the in vitro results, the dual peptide 5a presents the best dual potency and a moderate binding affinity at both ghrelin and Y2 receptors. In addition, it possesses a good selectivity toward the Y2 receptor over Y1, Y4 and Y5 receptors. To further investigate its pharmacological interest, in vivo food intake assays were performed in diet-

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Journal of Medicinal Chemistry

induced obese mice. Hence, freely fed mice were randomized in different groups and treated with a) a saline solution (control group); b) the ghrelin receptor inverse agonist 1a (K-(D-1-Nal)FwLL-NH2); c) hPYY(3-36); d) the Y2 receptor agonist 2a (Ac-LRHYLNLLTRQRY-NH2); e) the dual targeting peptide 5a and f) co-administration of 1a+2a. Cumulative food intake and body weight were measured for each group in parallel and the significance of the effect was statistically assessed for each treatment. Acute subcutaneous (SC) administration of the drugs at 500 nM/kg or intraperitonal (IP) injection at 50, 100 or 250 nM/kg did not significantly modify the feeding behavior nor the body weight of mice (data not shown). When the drugs were administrated by daily IP at 100 nM/kg for 10 days, repeated-measures ANOVA showed a significant drug treatment-by-time interaction for food intake and body weight (respectively p